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Telomerase reverse transcriptase (hTERT) is the catalytic subunit of the telomerase enzyme complex, which maintains chromosomal stability by adding telomeric repeats (TTAGGG) to the ends of chromosomes (UniProt O14746; NCBI Gene 7015). While hTERT expression is silenced in most adult somatic cells, it is reactivated in approximately 85-90% of human cancers, enabling the unlimited replicative potential characteristic of malignancy (Shay, J. W., 2016, Seminars in Cancer Biology). This near-universal expression in tumors compared to limited expression in normal tissues makes hTERT a primary target for anti-cancer therapies. Therapeutic interventions include telomerase inhibitors like imetelstat, which binds to the hTR RNA template to block catalytic activity, and various immunotherapies designed to recognize hTERT-derived peptides presented on the surface of cancer cells (Baerlocher et al., 2015, NEJM; Mizukoshi & Kaneko,}
Direct inhibition of telomerase catalytic activity via competitive binding to the RNA template or induction of hTERT-specific cytotoxic T-lymphocyte responses through vaccination (Baerlocher et al., 2015, NEJM; Mizukoshi & Kaneko, 2019, Int J Mol Sci).
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